First Choice Community Counseling | |
5801 Allentown Rd Ste 308 Camp Springs MD 20746-4566 | |
(240) 455-7760 | |
Not Available |
Full Name | First Choice Community Counseling |
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Speciality | Community/Behavioral Health |
Location | 5801 Allentown Rd Ste 308, Camp Springs, Maryland |
Authorized Official Name and Position | Tanikka Lashelle Mason (CHIEF CLINICAL OFFICER) |
Authorized Official Contact | 8047213306 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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First Choice Community Counseling 5801 Allentown Rd Ste 308 And 309 Camp Springs MD 20746-4563 Ph: (240) 455-7760 | First Choice Community Counseling 5801 Allentown Rd Ste 308 Camp Springs MD 20746-4566 Ph: (240) 455-7760 |
NPI Number | 1508464975 |
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Provider Enumeration Date | 10/16/2020 |
Last Update Date | 11/08/2021 |
Certification Date | 11/08/2021 |
Medicare PECOS PAC ID | 4880044064 |
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Medicare Enrollment ID | O20231229002814 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508464975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Tanikka Mason |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659731131 PECOS PAC ID: 9234405721 Enrollment ID: I20240108000815 |
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